NURS FPX 4010 Assessment 4 Stakeholder Presentation

NURS FPX 4010 Assessment 4 Stakeholder Presentation

NURS FPX 4010 Assessment 4
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    Stakeholder Presentation

    Student Name

    Capella University

    NURS- FPX4010

    Professor’s Name

    Submission Date

    Slide 1

    Hello everyone. I’m ­­­_____. The present presentation talks about an interdisciplinary plan that would assist in addressing one of the major patient safety problems of Riverbend Medical Center: medication errors when transferring patients. The intended audience of this presentation is the organizational leadership and the main stakeholders, and this initiative aims to bring about the reduction of medication-related errors and improve patient safety, as well as sustainable change in the quality of care through evidence-based communication practices and the collaboration being supported by the leader. This has been associated with good interdisciplinary communication, which has in turn been correlated with fewer adverse events, as well as improved patient outcomes in an acute care facility.

    Slide 2

    The interdisciplinary communication plan will enhance the collaboration of nurses, physicians, pharmacists, and the patient safety teams by introducing the use of the organized handoff tools and joint accountability in the care transitions. The program is about improving medication accuracy in case of a change in shift and emergency department transfer, and this is viewed as one of the high risks of communication breakdown.

    According to certain sources, the outcomes of medication errors and adverse drug events can be minimized by 23 and 30 percent, respectively, in hospitals with the assistance of common handoff procedures and interdisciplinary communication (Blazin et al., 2020). Other areas that this plan will enable include the involvement of the leadership, staff development, and continuous review to ensure accountability and improvement of quality in the long-term.

    Organizational Issue

    Slide 3

    Interdepartmental/ intershift change on patient safety has emerged as an issue of patient safety dominance in Riverbend Medical Center, where patient handoff medication is the number one cause of patient injury during handoff. Lack of good sharing of medication information: change in dosage, allergies, high-risk medications. This puts patients at risk of adverse events. The literature indicates that almost 40% of severe medication errors are related to the transfer of care and can likely be related to a lack of interdisciplinary communication (Leon et al., 2023).

    These hurdles have to be overcome by the existence of an interdisciplinary team comprising nurses, physicians, pharmacists, and patient safety personnel. The support provided by interventions, including appropriate handoff practices and real-time communication, will assist in the provision of proper information transfer and shared accountability. Better interdisciplinary collaboration will lead to improved continuity of care, harm prevention, and safer clinical decision-making across the departments.

    Slide 4

    Consequences of Not Addressing the Issue

    The possible outcome of an oversight of communication failure during the process of patient handoff would have a drastic impact on patient safety during the process, which will manifest in the form of more medication errors and longer hospitalization, as well as an unnecessary increase in care. Costs of medical errors that are reported are broad-based, with certain experts estimating the cost to be $20 billion annually, whereas other experts estimate healthcare costs of $35.7 to 45 billion annually due to hospital-acquired infections alone (Rodziewicz et al., 2024).

    This has been caused by siloing of the interdisciplinary teams, leading to forgetting or misinterpretation of all significant medication information. Such an unstructured form of management frustrates the employees, demotivates them and results in the team members losing confidence. The lack of any standardized practices in communication leads to further safety incidents, regulatory problems, and low-quality results, impacting patient safety and company performance.

    Slide 5

    Relevance of an Interdisciplinary Team Approach

    To decrease medication errors committed during the handover of medication to patients, an interdisciplinary approach is needed since medication management is a collaborative activity among various healthcare providers. Nurses also give real-time evaluation of the patient, pharmacists will investigate the legitimacy of the prescription and interaction, physicians will oversee the plan of treatment and patient safety teams will ensure adherence and outcome. There are indications that interdisciplinary teamwork plays a great role in enhancing the accuracy of communication and safety culture in hospitals (Shah, 2025).

    The interdisciplinary teams also assist in situational awareness and initiative in addressing the problems by developing a feeling of collaboration and shared responsibility. The practice will allow for the medication orders in a timely manner; the same procedures will be conducted in order to adhere to the safety measures and eventually offer improved patient care and minimize the deterioration that can be prevented.

    Slide 6

    Evidence-Based Interdisciplinary Plan Summary

    Objective

    The goal of an interdisciplinary plan is to achieve a large reduction in errors of medication transfers related to patient transfers in Riverbend Medical Center within 6 months. Studies continue to report that transition of care is one of the most prone areas of clinical practice, with a good percentage of avoidable serious adverse events being related to medication. The literature has shown the use of standardized interdisciplinary handoff interventions that entail clinical and observed decreases in medication errors after the implementation (Blazin et al., 2020). The plan below is directly oriented toward the causes of the safety events associated with handoff by enhancing the organization and reliability of the communication associated with medication.

    Working

    It is possible to assume that the plan will be successful as standardized forms of handoff, interdisciplinary education, and medication checks with the assistance of pharmacists will be a part of a regular change model. Interdisciplinary collaboration with formalized handoff procedures improved in hospitals that implemented such long-term measures led to better medication reconciliation accuracy and reducing the number of discrepancies related to communication in the long term. This plan might be pursued using Lewin’s Change Theory, which may help the staff by raising awareness, changing the practice, and reinforcing the new behavior (Baluyot et al., 2022).

    At the unfreezing stage, the concerned parties will be informed on the existing communication gaps using unit-level data on the number of medication errors and the number of errors that occur during handoffs. Such an evidence-based practice can be used to gain a sense of urgency and build a weakening resistance against change. Pharmacists have also been linked to care transitions connected with an enhanced detection of medication discrepancies and medication safety (high-risk medications), especially.

    Role of the Interdisciplinary Team

    The interdisciplinary team approach can be used as well to guarantee better results since it can be used to create a systematic partnership, since all details of patient care are taken into account and periodically. Accountability and reliability in the implementation process of the plan is also promoted by clearly defined roles. The nurses commence the hand-off process in a methodical manner and communicate the medications they are taking in real-time and the pharmacists confirm and cross medication orders to detect any discrepancies in medication.

    The doctors validate the treatment plans and explain them; patient safety staff oversees the use of handoff plans and outcome data measurements (Kobrai-Abkenar et al., 2024). The interdisciplinary setting’s shared responsibility concept makes the interdisciplinary setting more effective in communication and reduces individual alertness, which serves to make care transitions safer.

    Slide 7

    Implementation of the Interdisciplinary Plan

    The actualization of the interdisciplinary plan will be a phase-by-phase, operationally viable process whereby the introduction of the standardized handoff practices will be part of the current work processes. The first step will entail interdisciplinary education involving special training and learning involving simulations that will demonstrate typical handoff situations. The accuracy, confidence, and consistency of information during the transition of patients can be improved through communication training via simulation (Elendu et al., 2024). The training will be structured in a way that will make it easy to engage the staff and it will also be covered within the clinical setting.

    The second stage will focus on the regular implementation with the support of interdisciplinary huddles and handoff records supported by e-health records. It has been linked with better situational awareness and better resolutions of medication-related issues, yet communication failures also decrease with time, which can be implemented using frequent interdisciplinary huddles (Griffey et al., 2023). The leadership will also be able to adjust the work by constantly monitoring using chart audit and incident reporting trends to find out the progress of the work. It is a methodological plan in which the standardized handoff practices are converted to practice daily as opposed to being an individual training program.

    Slide 8

    Management of Human and Financial Resources

    Riverbend Medical Center should adopt the interdisciplinary improvement plan of handoff improvement by providing it with management of the human and financial resources. It is estimated that a budget of $300,000 will be utilized to acquire the staff required education, technology implementation and administration to support the gatherings, as the solution selected is both viable and sustainable. This budget is designed in a way that would guarantee a maximum level of patient safety is attained, as well as reduce wastage.

    In particular, the costs of training the interdisciplinary personnel and staff and the provision of the handoff drills with the use of simulation will need up to 60,000 dollars to ensure that the nurses, pharmacists, physicians and patient safety workers are proficient in the standardized handoff practices and procedures. At a cost of 90,000, the upgrades in technology of real-time electronic health record (EHR) alerts, templates of handoff documentation and the use of secure messaging tools will be supported to ensure that all the staff members, i. e., nurses, pharmacists, physicians and patient safety personnel, are conversant with the technology.

    Management of human resources will not involve establishing new roles; instead, it will tap into the interdisciplinary roles in place. Nurse managers, pharmacists and patient safety officers will organize training schedules, interdisciplinary huddles, workflow surveillance of the plan and ensure the clinical coverage of the plan during its implementation. The value of the input of the staff to the creation of the protocols and feedback will enhance ownership and responsibility. It is an investment system and is geared towards the optimum utilization of both human and financial resources and delivers high-impact areas as follows: training makes competence, technology makes real-time communications, incentives make maintaining compliance and continuous audits make continuous improvement.

    They have shown that hospitals with well-organized interdisciplinary handoff initiatives in which sufficient resources are distributed have high medication errors and a better patient safety culture (Griffey et al., 2023). The correlations between the costs and the quantifiable results that Riverbend Medical Center has been able to identify help to ensure effective implementation with minimum expenditures and less dangerous patient-centered care environment.

    Slide 9

    Criteria to Evaluate Project Success

    The effectiveness of the interdisciplinary handoff improvement plan could be evaluated at the Riverbend Medical Center in several evidence-based indicators that could be evaluated in terms of patient outcomes, collaborations, and productivity. Firstly, the attitude and staff satisfaction will be determined by conducting structured surveys to understand how the staff, nurses, pharmacists, physicians, and patient safety personnel consider the readability, usability and effects of the standardized handoff tools. High staff satisfaction level, including interdisciplinary health interventions, have been shown to be linked to high protocol adherence and long-term safety benefits (Maxhakana & Sithole, 2024).

    Second, patient safety and clinical outcomes will be measured based on the observation of medication errors, near misses, and adverse drug events that are related to the handoff process. In addition to patient-centered outcomes indicators, such as emergency escalations and unplanned readmissions to the hospital because of medication errors, will be introduced as secondary measures of the effectiveness of the plan, since the indicators will represent a clear numerical figure of the plan’s effectiveness.

    Third, the criteria to assess the operational efficiency will be pegged on adherence on handoff schedules, full documentation of the electronic health records, and promptness and interdisciplinary communication on a transition basis. The handoffs are organized and often interdisciplinary huddles are used in order to enhance the workflow integration in addition to decreasing delays in the flow of information.

    It would assist in estimating the enhancement of the performance of the team and the homogeneity of the processes (Shekelle et al., 2025). Lastly, all these will be combined to enable the leadership to generate the overall achievement of the initiative. Reduced medication errors, better communication between the staff and simplified work processes will demonstrate that the plan will meet the forecasted improvement outcomes and shape the culture of responsibility and patient safety.

    Slide 10

    Conclusion

    It is a cross-disciplinary strategy, which is evidence-based and aims at minimizing medication errors in the process of handing over patients at Riverbend Medical Center. Cooperation, standardization of communications and the appropriate use of organizational resources will result in better patient safety, involvement of staff and development of the organization in the long term. This roadmap is a realistic and viable way of minimizing avoidable injuries and improving the quality of patient care by regular assessment and coaching of leadership.

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      References for
      NURS FPX 4010 Assessment 4

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        Below are the references for NURS FPX 4010 Assessment 4:

        Baluyot, A., McNeill, C., & Wiers, S. (2022). Improving communication from hospital to skilled nursing facility through standardized hand-off: A quality improvement project. Patient Safety4(4), 18–25. https://doi.org/10.33940/med/2022.12.2

        Blazin, L. J., Amorn, J. S., Hoffman, J. M., & Burlison, J. D. (2020). Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Pediatric Quality & Safety5(4). https://doi.org/10.1097/pq9.0000000000000323

        Elendu, C., Amaechi, D. C., Okatta, A. U., Amaechi, E. C., Elendu, T. C., Ezeh, C. P., & Elendu, I. D. (2024). Medicine103(27), 1–14. https://doi.org/10.1097/MD.0000000000038813

        Griffey, R. T., Schneider, R. M., & Todorov, A. A. (2023). Near-miss events detected using the emergency department trigger tool. Journal of Patient Safety19(2). https://doi.org/10.1097/pts.0000000000001092

        Kobrai-Abkenar, F., Salimi, S., & Pourghane, P. (2024). “Interprofessional Collaboration” among pharmacists, physicians, and nurses: A hybrid concept analysis. Iranian Journal of Nursing and Midwifery Research, 29(2), 238. https://doi.org/10.4103/ijnmr.ijnmr_336_22

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